远程康复支持运动对COVID-19大流行期间可能患有睡眠磨牙症的颞下颌障碍患者的有效性:一项随机对照试验

IF 2 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Ezgi Hatice Abaci, Aysenur Tuncer, Abidin Hakan Tuncer
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引用次数: 0

摘要

目的:本研究评估远程康复支持运动对可能伴有睡眠磨牙症(TMDs-SB)的颞下颌疾病患者疼痛、颈部残疾、焦虑、口腔行为和睡眠质量的影响。方法:在2019冠状病毒病大流行期间(2021年3月- 2022年5月),将40例年龄在18-65岁的tmd - sb患者随机分为远程康复组(n = 20)和家庭运动组(n = 20)。两人都接受了教育和锻炼;远程康复小组每周监督30分钟的WhatsApp视频会议,持续八周。在基线和8周时评估结果。结果:与家庭锻炼相比,两组从基线到8周随访的所有结果(p p = 0.012)、颈部残疾(p = 0.032)、特质焦虑(p = 0.028)和口腔行为(p = 0.001)均有显著改善。两组的睡眠质量改善相似(p = 0.154)。结论:远程康复有效地减轻了tmd - sb症状,为大流行期间的无监督锻炼提供了一种有希望的替代方案。鉴于这一独特的背景,在大流行的情况之外进行研究将提高普遍性,并澄清远程康复的潜力。需要进一步的研究来证实其在大流行条件下的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness of telerehabilitation-supported exercises in patients with temporomandibular disorders with probable sleep bruxism during the COVID-19 pandemic: A randomized controlled trial.

Objective: This study evaluated telerehabilitation-supported exercises' effects on pain, neck disability, anxiety, oral behaviors, and sleep quality in patients with Temporomandibular Disorders associated with probable sleep bruxism (TMDs-SB).

Methods: During the COVID-19 pandemic (March 2021-May 2022), 40 patients aged 18-65 with TMDs-SB were randomized to a telerehabilitation (n = 20) or home exercise (n = 20) groups. Both received education and exercises; the telerehabilitation group supervised 30-minute weekly WhatsApp video sessions for eight weeks. Outcomes were assessed at baseline and eight weeks.

Results: Both groups improved significantly in all outcomes from baseline to eight-week follow-up (p < .05). Telerehabilitation showed greater reductions in morning jaw pain (p = .012), neck disability (p = .032), trait anxiety (p = .028), and oral behaviors (p = .001) versus home exercises. Sleep quality improved similarly in both groups (p = .154).

Conclusions: Telerehabilitation effectively reduced TMDs-SB symptoms, offering a promising alternative to unsupervised exercises during the pandemic. Given this unique context, conducting studies outside the pandemic's conditions would enhance generalizability and clarify telerehabilitation's potential. Further studies are needed to confirm its efficacy beyond pandemic conditions.

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来源期刊
Cranio-The Journal of Craniomandibular & Sleep Practice
Cranio-The Journal of Craniomandibular & Sleep Practice DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
4.50
自引率
12.50%
发文量
92
审稿时长
>12 weeks
期刊介绍: CRANIO: The Journal of Craniomandibular & Sleep Practice is the oldest and largest journal in the world devoted to temporomandibular disorders, and now also includes articles on all aspects of sleep medicine. The Journal is multidisciplinary in its scope, with editorial board members from all areas of medicine and dentistry, including general dentists, oral surgeons, orthopaedists, radiologists, chiropractors, professors and behavioural scientists, physical therapists, acupuncturists, osteopathic and ear, nose and throat physicians. CRANIO publishes commendable works from outstanding researchers and clinicians in their respective fields. The multidisciplinary format allows individuals practicing with a TMD emphasis to stay abreast of related disciplines, as each issue presents multiple topics from overlapping areas of interest. CRANIO''s current readership (thousands) is comprised primarily of dentists; however, many physicians, physical therapists, chiropractors, osteopathic physicians and other related specialists subscribe and contribute to the Journal.
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